Etiology and Diagnosis of Bacterial Postoperative Endophthalmitis

Richard K. Forster

Research output: Contribution to journalArticlepeer-review

73 Scopus citations

Abstract

It is necessary to determine if postoperative endophthalmitis is of infectious or sterile etiology. Intraocular contents should be cultured and were positive in 50% of 58 eyes tested at our institute with suspected postoperative endophthalmitis. The vitreous aspirate is more sensitive than the anterior chamber aspirate in making a diagnosis. The use of a membrane filter to concentrate vitreous samples obtained at vitrectomy increases diagnostic yield. Fifty percent of culture-positive eyes yielded gram-positive organisms. Stained smears were consistent with the cultured organism in half of the cases.

Original languageEnglish (US)
Pages (from-to)320-326
Number of pages7
JournalOphthalmology
Volume85
Issue number4
DOIs
StatePublished - Jan 1 1978

Keywords

  • Endophthalmitis
  • anterior chamber paracentesis
  • bacterial endophthalmitis
  • diagnostic vitrectomy
  • infectious endophthalmitis
  • membrane filter
  • postoperative endophthalmitis
  • sterile endophthalmitis
  • vitrectomy
  • vitreous aspirate

ASJC Scopus subject areas

  • Ophthalmology

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